Topics Related to Medicaid Managed Care

This bulletin summarizes the content of the programmatic guidance document for Care Coordination for High-Risk Pregnant Women and At-Risk Children.

Please ensure tailored care managers and care coordinators are using the updated version as of Oct. 1, 2026.

Providers enrolled with taxonomy 251S00000X without a Service will have the taxonomy terminated from the NCTracks record effective Nov. 2, 2026.

CY 2026 NC Medicaid provider assessment rates per non-Medicare licensed bed day for Skilled Nursing Facility providers.

This bulletin provides guidance on the 2026 – 2027 influenza season for NC Medicaid.

Clarifications to providers on concurrent billing for Clinical Coverage Policy 8F.

Revisions to areas include definitions, eligibility and coverage criteria, specific criteria covered, transition and discharge planning and more.

NC Medicaid Managed Care Incremental Innovations Waiver DCW Rate Increases effective October 1, 2026, retroactive to July 1, 2026.

The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.

Updating the date format requirement for Hospital UR Plan submission.